EMDocs

APRIL 27, 2024

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Updated 2023 Apr 8]. Updated 2023 Apr 8]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Pediatric EM Morsels

AUGUST 18, 2023

(Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. BMC Infectious Disease. PMID: 26407358 Meesters K, Mauel R, Dhont E, Walle JV, De Bruyne P. PMID: 29471791 Morley C, Carvalho de Almeida C, Moloney S.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

ACEP Now

MAY 10, 2024

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Published online 2023. Clinical Infectious Diseases. Let’s look at three young female patients with differing symptom severities.

Infectious Diseases 98

Infectious Diseases Sepsis Emergency Department Administration 98

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. N Engl J Med.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

ACEP Now

FEBRUARY 11, 2024

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. He noted spending about five days walking through a jungle, as well as traversing rivers. Last reviewed October 5, 2023. Published January 12, 2023. Published November 1, 2023. Click to enlarge.) CDC website.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. How Best to Stop the Bleeding in Trauma? percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

EM Literature of Note

SEPTEMBER 13, 2024

since August 2023. These authors compare the burden of lower respiratory tract infections and bronchiolitis admissions at 15 pediatric emergency departments across 2018 to 2024, with 2023-24 being the first season where nirsevimab was in wide usage.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

American Medical Compliance

FEBRUARY 2, 2024

These regulations went into effect on February 3, 2023. Use of the ATD Standard Cal/OSHA requires employers covered by the Aerosol Transmissible Disease (ATD) Standard (California Code of Regulations, Title 8, Section 5199) to protect employees from airborne infectious disease such as COVID-19 and pathogens transmitted by aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. This is the 601st Ped EM Morsel ! Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

ALiEM

OCTOBER 16, 2023

Additional Images Physical Exam Vitals : BP 115/80; HR 120; T 101°F; RR 16; O2 sat 97% General : Well appearing in no acute distress HEENT : Poor dentition, mild trismus. Treatment should include both an extended course of antibiotic therapy as well as surgical source control of abscesses. The floor of the mouth is unremarkable.

Academics 60

Academics Wellness Emergency Department Hospitals 60

ALiEM

JANUARY 22, 2024

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. 2023 Dec 1. There are no hard MAP recommendations. Neurocrit Care. Epub ahead of print.

Seizures 97

Seizures Shock Infectious Diseases CPR 97

Don't Forget the Bubbles

FEBRUARY 28, 2024

2023; doi: 10.1159/000531034. The researchers concluded that oral brivudine offers an effective, well-tolerated therapy in immunocompromised children and could be used as an outpatient treatment. European Journal of clinical microbiology and infectious diseases. 2023; doi: 10.1159/000531034. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

RebelEM

AUGUST 3, 2023

JAMA Intern Med 2023. JAMA Intern Med 2023. Paper: Copaescu AM et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Trial. References: Copaescu AM et al.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Pediatric Education

MAY 14, 2023

The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system. Accessed February 6, 2023. Am Fam Physician. 2020;101(12):730-738.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

EMDocs

OCTOBER 5, 2024

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. The Lancet Infectious Diseases.

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., Retrieved March 2, 2023, from [link] Levine, B.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

EMDocs

DECEMBER 18, 2023

1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery. Accessed June 10, 2023. J Intensive Care Med. 2020;323(10):938–949. J Clin Med.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

Pediatric Education

JUNE 25, 2023

Borates can cause skin irritation and there can be some reproductive changes as well. Related Cases Disease: Ear Infections Symptom/Presentation: Ear Pain Specialty: Otolaryngology | Infectious Diseases Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2024

. ■ Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. His parents are both fit and well and there is no family history of any medical conditions.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Don't Forget the Bubbles

FEBRUARY 24, 2025

They were a well-grown, term infant born in good condition. According to the latest available data from the UK Health Security Agency, 14,453 laboratory-confirmed cases of Pertussis were reported in England between January and October 2024, compared to just 856 confirmed cases throughout 2023. Sounding familiar? Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Taming the SRU

JUNE 12, 2023

Accessed April 28, 2023. However, there have been no studies statistically powered well enough regarding dog bite lacerations to confirm or dispute this claim. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. Accessed August 29, 2023. BMC Pediatr. 2021;21(Suppl 1):350.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

PEMBlog

DECEMBER 4, 2024

Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2023–24 School Year. If you’re unvaccinated and not up to date, well then what are you doing in healthcare? I’ve had patients say, well, I don’t want tetanus. Well, tough Schenectes.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 Platelets : 223 Sodium : 139 Creatinine : 0.8

Emergency Department 60

Emergency Department CDC EMS Academics 60

ALiEM

DECEMBER 16, 2024

CT demonstrates osteomyelitis of the frontal bone with osseous destruction with a 5 cm bifrontal complex loculated anterior epidural abscess as well as a 3 cm midline frontal subgaleal extracranial scalp abscess. Laboratory Data WBC : 14.35 ESR : 23 mm/h CRP : 0.74 mg/dL Case Question: What CT imaging findings are shown here? PMID: 19352731.

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

Mind The Bleep

JANUARY 24, 2025

Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain. Clinical microbiology and infection: the official publication of the European society of clinical microbiology and infectious diseases. References: Murphy, R. de Schoulepnikoff, C.,

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Pediatric Education

JULY 30, 2023

Her family was well-aware of signs and symptoms that the papillomas were recurring and when this occurred she slowly developed a raspy voice. Published online January 18, 2023. Over the past 6 months she has only needed 1 surgical treatment and was currently asymptomatic. They denied any other papillomas on her body. J Laryngol Otol.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

Don't Forget the Bubbles

MARCH 17, 2025

The Global Impact of Scabies Scabies affects around 100 million people globally at any given time, placing it in the top 50 infectious diseases in terms of disability-adjusted life years. Its impact exceeds that of diseases like dengue fever. Both of these agents are well-established and routinely used safely within UK practice.

Outcomes 59

Outcomes Infectious Diseases Pediatrics Research 59

Pediatric Education

OCTOBER 1, 2023

Non-polio enteroviruses have emerged which cause acute flaccid paralysis as well. ” Currently as of June 2023, there are 35 outbreak countries. Starting in May 2023, a targeted catch-up campaign for polio and measles, mumps and rubella is ongoing in the United Kingdom. List some common vaccine preventable diseases?

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Additionally, any child with a kidney transplant might have some degree of chronic kidney disease (CKD). When in doubt, call the team. and Hirsch, H.H., Myette, R.L.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Ensure the wound has been adequately washed out.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52